# SHENANDOAH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shenandoah Physicians Clinic-Essex
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558766956
- **Authorized official:** KAREN S COLE (CEO)
- **Authorized official phone:** (712) 246-1230

## Contact information

- **Practice address:** 527 IOWA AVE, ESSEX, IA 51638-8076
- **Practice address phone:** (712) 379-7040
- **Practice address fax:** (712) 379-7042
- **Mailing address:** 300 PERSHING AVE, SHENANDOAH, IA 51601-2355
- **Mailing address phone:** (712) 246-1230
- **Mailing address fax:** (712) 246-7357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 730065H | IA | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 10/28/2014